FACTORS AFFECTING THE ACADEMIC PERFORMANCE OF STUDENTS

SURVEY QUESTIONNAIRE
Grade level: _______________________ Date: ________________

Attendance in Class;

1. How often you go to classes?

a. Always
b. 3-4 days a week
c. 1-2 days a week
d. Sometimes or never

Family Income;

2. Classify how much is your family income annually.

a. 0- 50,000 pesos per year
b. 60,000- 80,000 pesos per year
c. 90, 000- 180,000 pesos per year
d. 190,000- 260,000 pesos per year
e. 270,000 pesos above per year

Study hours;

3. Classify how many hours have you allocated for your studies excluding school hours.
a. I never study after attending the classes.
b. I study only when there are exams or test after attending the high school classes.
c. Yes, I study one hour after class.
d. I am hard working, I study 2-3 hours after class.
e. I am very hard working, I study 4-6 hours after class.

Mother’s Age;

4. Select your mother’s age.

a. 35 years old – Young
b. 35- less than 40 years old – Middle aged
c. 40- less than 45 years old – Somewhat aged
d. 45 – less than 50 years old – Aged
e. 50 years old above – Very aged

Mother’s Education;

5. Classify your mother’s education depending on the number of years she has attended the
school.
a. 2-8 years of education c. 12-14 years of education
b. 8-12 years of education d. 14- 16 years of education